DISTRIBUTOR EMPANELMENT FORM(Only for Resident Individual)
Contact Details
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Gender
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Statutory Disclosure
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Business Details
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Disclosures (Note: If any of the below criteria is met, you need to complete a due diligence process before empanelment.)
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A. Multiple point presence (More than 20 locations)
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B. AUM raised over Rs. 100 Crore across industry in the non institutional category including high networth individuals (HNI’s)
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C. Commission received of over Rs. 11 Crore p.a. across industry
D. Commission received of over Rs. 50 Lakh from a single Mutual Fund
BANK ACCOUNT DETAILS (Your commission / brokerage payments will be paid by direct credit to this account)
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Nomination facility: (Available only for individuals)
Declaration
I / We hereby declare that the information provided is factual and correct. I / We understand that if any information is found to be incomplete, false
or wrong, then the BAIM may take suitable action against me including termination of empanelment / Distribution Agreement. I / We further confirm
that all our personnel, sub-agents are certified and registered with AMFI and hold a valid AMFI certificate and photo-identity card.